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Titolo:
Utility of transbronchial needle aspiration in the diagnosis of endobronchial lesions
Autore:
Dasgupta, A; Jain, P; Minai, OA; Sandur, S; Meli, Y; Arroliga, AC; Mehta, AC;
Indirizzi:
Cleveland Clin Fdn, Dept Pulm & Crit Care Med, Cleveland, OH 44195 USA Cleveland Clin Fdn Cleveland OH USA 44195 re Med, Cleveland, OH 44195 USA Kelsey Sebold Clin, Dept Pulm & Crit Care Med, Houston, TX USA Kelsey Sebold Clin Houston TX USA Pulm & Crit Care Med, Houston, TX USA
Titolo Testata:
CHEST
fascicolo: 5, volume: 115, anno: 1999,
pagine: 1237 - 1241
SICI:
0012-3692(199905)115:5<1237:UOTNAI>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
FLEXIBLE FIBEROPTIC BRONCHOSCOPY; LUNG-CANCER; BRONCHOGENIC-CARCINOMA; BIOPSY; ACCURACY;
Keywords:
endobronchial lesion; exophytic mass lesion; submucosal and peribronchial disease; transbronchial needle aspiration;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
13
Recensione:
Indirizzi per estratti:
Indirizzo: Mehta, AC Clevelandleveland,, Dept Pulm & Crit Care Med, Desk A-90,9500 Euclid Ave, C Cleveland Clin Fdn Desk A-90,9500 Euclid Ave Cleveland OH USA 44195
Citazione:
A. Dasgupta et al., "Utility of transbronchial needle aspiration in the diagnosis of endobronchial lesions", CHEST, 115(5), 1999, pp. 1237-1241

Abstract

Background: The utility of transbronchial needle aspiration (TBNA) in visible endobronchial lesions presenting as either an exophytic mass lesion (EML) or submucosal and peribronchial disease (SPD) is not well established. Objective: To compare the yield of conventional diagnostic procedures (CDP) (bronchial washing, bronchial brushing, and endobronchial forceps biopsy)with that obtained from a combination of CDP and TBNA (CDP + TBNA). Design: Prospective study of 55 patients,Setting: Tertiary-care referral hospital,Results: Of the 55 patients in whom malignancy was confirmed, CDP + TBNA identified 53 (96%) vs 42 (76%) identified by CDP (p = 0.001), The highest yield from any individual procedure was obtained by TBNA, Of the 23 patientswith SPD, 22 (96%) were diagnosed using CDP + TBNA compared with 15 (65%) by CDP (p = 0.016); the yield from TBNA alone (22 of 23) in this group surpassed the combined yield from all other procedures. Although no statistically significant difference in yield was observed for EML, the use of TBNA identified four additional patients compared with CDP,Conclusion: We conclude that the addition of TBNA to CDP increases diagnostic yield in patients with visible endobronchial lesions.

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Documento generato il 02/07/20 alle ore 22:33:02